| ObjectiveJin three needle technique is an acupuncture method that Lingnan acupuncture master Jin Rui summed up the characteristics of acupuncture according to traditional acupuncture. It contains 40 groups of acupuncture points, and has a wide range of use in clinic. This study selects the group of "neck three needles" as the treatment of tension-type headache, observed the clinical efficacy of this therapy. We took the conventional acupuncture as control method, compared the different effect of these two therapy, and tried to explore the possible mechanism of the treatment of neck three needles.MethodsThis study included 60 patients who had been diagnosted as tension-type headache. According to the method of randomized,60 patients were divided into two groups, treatment group of 30 cases and 30 cases in the control group. The treatment group chose the routine acu-point selection in acupuncture combined with neck three needles. The specific acu-point selection was:neck three needles (Bailao, Dazhu, Tianzhu), Taiyang, Touwei, Fengchi, Jiaji of neck, Zusanli, Taichong, Sanyinjiao. According to the different parts of the headache, the acu-points can add by the detector of channel. The control group just took the routine points. When each point had the feeling, the points connected with the electric acupuncture apparatus (G-6805), using continuous wave, frequency of 120 beats per minute,30 minutes each treatment day. After the course of treatment, we compared the VAS score, headache integral score and PSQI score before and after the treatments. Using the software packages SPSS19.0 management and statistical analysised.Results1. VAS score:Before treatment, the treatment group’VAS score was 7.04 ±2.37, the control group the VAS score was 6.89±2.52, by test, the difference was not statistically (P>0.05), showed there was no significant difference between the two groups of patients, it was comparable. After the treatment, the VAS score in the treatment group was 2.21±1.34, the VAS score of control group was 3.87±1.58; compared with the patients in two groups before treatment, VAS scores were significantly decreased, there was statistical significance (P<0.05), compared two groups of patients with VAS score after treatment, the treatment group decreased more significantly (P<0.01). The result showed that acupuncture can effectively improve the tension headache patients’VAS score, relieve the pain, but the combination of neck three needle therapy, the effect is more significant.2. Headache integral score:Before treatment, the treatment group and the control group’total headache score, attack frequency, duration and degree of headache and associated symptoms have no significant difference, it was comparable. Compared before and after treatment, the two groups of patients’ headache episodes, total score, headache severity, duration and concomitant symptoms decreased significantly. Compared with control group, the total score, headache severity and duration on the treatment group decreased more obviously (P<0.01), there was statistical significance (P<0.05), while the episodes and accompanying symptoms, there was no significant difference between the two groups (P>0.05). It indicated the treatment group and control group can improved tension-type headache patients’headache, seizure frequency, duration and associated symptoms. In the improvement of headache severity and duration, the treatment group was better than the control group, while in the improvement of associated symptoms and episodes, the efficacy of the two groups was almost the same.3. Sleep state:before treatment, the patients in the treatment group had 15 patients sleep disorder and 16 cases without sleep disorder. While the control group had 14 patients sleep disorder and 16 cases without sleep disorder. By statistical analysis, the difference was not statistically significant, it was comparable. After treatment, the treatment group patients with sleep disorders in 6 cases,24 cases of patients without sleep disorders; while the control group had 8 cases of insomnia patients,22 patients were without sleep disorder. Compared before and after the treatment, there was statistically significant (P<0.05); but the comparison between the two groups after treatment, there was no significant difference (P>0.05). The study explained that the two kinds of treatments can significantly improve sleep situation of the patients, and the effficacy was almost the same.4. Clinical efficacy:after a period of a month of treatment, the 30 patients in the treatment group has 8cases clinical cure (26.67%),15 cases were markedly effective (50.00%),5 cases were effective (16.67%), and 2 cases were ineffective (6.66%). While the control group had 4 cases clinical cure (13.33%),10 cases were markedly effective (33.33%),10 cases were effective (33.33%), and 6 cases were ineffective (20.00%). The total effective rate of treatment group was 93.33%, while the control group’total effective rate was 80.00%. After statistical analysis, the difference was significant, indicating that the treatment group was significantly better than the control group (P<0.05).ConclusionNeck three needles as one group of Jin three needle therapy, it is clinical widely used. This study tried to observe the neck three needles’clinical efficacy in the treatment of tension-type headache. The results confirmed that neck three needles therapy can effectively improve the patient’s VAS score, attack frequency, duration and degree of headache and associated symptoms and improve the sleep quality of patients. The effect is accurate, and is worth to clinical promotion. |
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